TRACEY KING PSYD
NPI 1912520065
Psychologist in Lebanon, OH

Active since May 24, 2020PECOS EnrolledAccepts Medicare Assignment
726 E MAIN ST STE F210, LEBANON, OH 45036(513) 800-1270 Get Directions Write a Review

NPPES record last updated: November 11, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 11, 2023, Aug 24, 2020, May 24, 2020 (3 updates tracked since 2020).

About Tracey King Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACEY KING PSYD (NPI 1912520065) is an individual psychologist in Lebanon, Ohio, licensed in Ohio (P.07970) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1912520065
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameTRACEY KINGCredential: PSYD
Location Address726 E MAIN ST STE F210Lebanon, OH 45036-1900
Mailing Address726 E Main St Ste F210Lebanon, OH 45036-1900 · (513) 800-1270
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 24, 2020
Last NPPES UpdateNovember 11, 20233 updates tracked since enumeration
NPPES CertifiedNovember 11, 2023
✔ NPI 1912520065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in OH · P.07970
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
726 E MAIN ST STE F210, Lebanon, OH 45036

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tracey King Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800213158
PECOS Enrollment IDI20200901001141
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Tracey King reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Case Management
2611 WAYNE AVE, BLDG #66
Dayton, OH 45420
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: State Of Ohio Office Of Budget And Management State Accounting
  • 263 clinicians in this Medicare group
Family Medicine
3188 BELLEVUE AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 2,038 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracey King's NPI number?

The NPI number for Tracey King is 1912520065. It was assigned to this individual provider in the NPPES registry on May 24, 2020.

Where is Tracey King located?

Tracey King practices at 726 E Main St Ste F210, Lebanon, OH 45036. The listed phone number is (513) 800-1270.

What is Tracey King's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Tracey King enrolled in Medicare?

Yes. Tracey King is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tracey King's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracey King reassigns Medicare benefits to 2 organizations: State Of Ohio Department Of Mental Health (Dayton, OH) and University Of Cincinnati Physicians Company, LLC (Cincinnati, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tracey King's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tracey King was last updated on November 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.